I work in an outpatient department at a small rural hospital (about 70 bed). We do outpatient infusions along with a variety of other procedures. Our director would like to send two nurses to get training to insert PICC lines. The training would be an online course and a hands on class that lasts one or two days. I am considering doing this but I am worried about a couple things. First of all I am wondering if this is enough training to become proficient at inserting PICCs on our own. Right now there is no one at our hospital that has any experience inserting, so after the training we would be completely on our own. Second I am worried that we would not have the volume of patients to stay proficient at inserting. In my estimation we might have 2 or 3 patients a month that would need a PICC. Can anyone with some experience in this area help me out with some advice? I would like to do this but I don't know how hard it is and how much practice it takes to get good at it.